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    <p style="line-height:32pt; margin:0pt; orphans:0; text-align:center; widows:0"><span
        style="font-family:文星标宋; font-size:18pt; font-weight:bold">文书送达回证</span></p>
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                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:center; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">文书名称及文号</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:53pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:center; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">收件人</span></p>
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:center; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">签名</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:53pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:center; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">送达人</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:119.1pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:center; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">送达时间及地点</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:52.2pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:center; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">备注</span></p></td>
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                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:53pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:53pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:119.1pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:52.2pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
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                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
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                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
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                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:119.1pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:52.2pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
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                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:53pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:53pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:119.1pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:52.2pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
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                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:53pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:53pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:119.1pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:52.2pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
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                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:53pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:53pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:119.1pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
            <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:52.2pt">
                <p style="line-height:35pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
                        style="font-family:仿宋; font-size:14pt">&nbsp;</span></p></td>
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    <p style="margin:0pt; orphans:0; text-align:justify; widows:0"><span
            style="font-family:仿宋; font-size:14pt">注：</span></p>
    <p style="line-height:28pt; margin:0pt; orphans:0; text-align:justify; text-indent:21pt; widows:0"><span
            style="font-family:仿宋; font-size:14pt">1．送达参照《民事诉讼法》第七十七条至第八十四条规定执行。</span></p>
    <p style="line-height:28pt; margin:0pt; orphans:0; text-align:justify; text-indent:20.15pt; widows:0"><span
            style="font-family:仿宋; font-size:14pt">2．直接送达由他人签收的，应在备注栏注明签收人与受送达人关系。</span></p>
    <p style="line-height:28pt; margin:0pt; orphans:0; text-align:justify; text-indent:20.15pt; widows:0"><span
            style="font-family:仿宋; font-size:14pt">3．采用直接送达以外的其它送达方式的，应在备注栏注明送达方式，包括：委托送达、留置送达、邮寄送达、转交送达、公告送达。</span>
    </p>
    <p style="line-height:28pt; margin:0pt; orphans:0; text-align:justify; text-indent:20.15pt; widows:0"><span
            style="font-family:仿宋; font-size:14pt">4．留置送达的，应在备注栏注明拒收事由，由送达人和见证人签字，无签收人。</span></p>
    <p style="line-height:28pt; margin:0pt; orphans:0; text-align:justify; text-indent:20.15pt; widows:0"><span
            style="font-family:仿宋; font-size:14pt">5．邮寄送达的，必须以挂号信或专递送达，挂号信或专递回执应作为送达回证附件。以回执上注明的收件日期为送达日期。</span></p>
    <p style="line-height:28pt; margin:0pt; orphans:0; text-align:justify; text-indent:21pt; widows:0"><span
            style="font-family:仿宋; font-size:14pt">6．公告送达的，将公告证据作为送达回证附件。以公告日期60日后为送达日期，无签收人。</span></p>
    <p style="line-height:16pt; margin:0pt; orphans:0; text-align:justify; widows:0"><span
            style="font-family:宋体; font-size:12pt">&nbsp;</span></p>
    <p style="margin:0pt; orphans:0; text-align:justify; widows:0"><span style="font-family:Calibri; font-size:10.5pt">&nbsp;</span>
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